Adverse Event Reporting

VAERS ID 1002869
Gender Female
Age 35
StateCode OH
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations 2
Vaccinated 2021-01-25
Onset 2021-01-25
Condition Permanent Disability
Symptoms
  • Blood test
  • Blood creatine phosphokinase increased
  • Rhabdomyolysis

Current Illness

none known

Preexisting Conditions

endometriosis

Other Medications

biotin, magnesium, multi vitamin

Previous Vaccinations

Allergies

no known allergies

Laboratory Data

blood work , Creatinine kinase level of 1303

Write-up

possible rhabdomyolysis